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| http://dx.doi.org/10.1017/ice.2019.90 | DOI Listing |
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Preparation of Patients for Central Venous Catheter Care in the Home: Perspectives From Health Care Personnel.
Am J Med Qual
September 2024
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Patients managing central venous catheters (CVCs) outside of hospitals need training in CVC care. Using 3 focus groups, the study identified themes in how health care personnel (HCP) prepare patients and their caregivers for CVC care at home. Four major themes and 25 nested subthemes were identified: (1) providing the right amount of education at the right time, (2) tailoring education to patient needs, (3) developing patient education tools, and (4) managing differences in recommendations to patients.
View Article and Find Full Text PDFCost-effectiveness of a new multi-lumen infusion device to reduce central-venous-line-associated bloodstream infections in neonates.
J Hosp Infect
October 2024
Université Claude Lyon 1, Faculté de pharmacie/UMR CNRS 5510 MATEIS/Hôpital Edouard Herriot, Service pharmaceutique, Lyon, France; University of Warwick, Warwick Medical School, Coventry, UK. Electronic address:
Background: A new medical device was developed for multi-infusion in neonatal intensive care units (NICUs) with the aim of addressing issues related to drug incompatibilities and central-line-associated bloodstream infections (CLABSIs).
Aim: To assess the cost-effectiveness of implementing this new perfusion system in an NICU setting.
Methods: This single-centre, observational study was conducted in all infants admitted to the NICU within 3 days of birth, and who required a central venous line, to evaluate the cost and effectiveness before (2019) and after (2020) implementation of the new perfusion system.
Background: Quality improvement (QI) programs require significant financial investment. The authors evaluated the cost-effectiveness of a physician-led, performance-incentivized, QI intervention that increased appropriate peripherally inserted central catheter (PICC) use.
Methods: The authors used an economic evaluation from a health care sector perspective.
Prevention of Vascular Access Device-Associated Hospital Onset Bacteremia and Fungemia: A Review of Emerging Perspectives and Synthesis of Technical Aspects.
Clin Infect Dis
May 2024
Improvement Advisor, B. DeBaun Consultants, San Francisco, CA, USA.
Significant events impacting healthcare over the last several years have been associated with escalating rates of healthcare-associated infections. This has resulted in increased efforts to reinstitute well-established and evidence-based infection prevention practices, particularly for central line associated bloodstream infections. However, implementation of prevention initiatives beyond central lines has not received the same level of acknowledgement and response as being a considerable risk to patients.
View Article and Find Full Text PDFLeaving no culture undrawn: Time to revisit the CLABSI and CAUTI metrics.
J Crit Care
February 2024
Departments of Neurosurgery and Neurology, Mount Sinai West, 1000 10(th) Avenue, Suite 10B-65, New York, NY 10019, USA.
Central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) are quality metrics for many ICUs, and financial ramifications can be applied to hospitals and providers who perform poorly on these measures. Despite some perceived benefits to tracking these metrics, there are a range of issues associated with this practice: lack of a solid evidence base that documenting them has led to decreased infection rates, moral distress associated with identifying these infections, problems with their definitions, and others. We discuss each of these concerns while also including international perspectives then recommend practical steps to attempt to remediate use of the CLABSI and CAUTI metrics.
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